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Research ArticleAccepted Articles

The Impact of Psychiatric Comorbidity on Health Care Utilization for Youth with Newly Diagnosed Systemic Lupus Erythematosus

Alaina Davis, Jennifer Faerber, Kaveh Ardalan, Hannah Katcoff, Marisa Klein-Gitelman, Tamar B. Rubinstein, Zuleyha Cidav, David S. Mandell and Andrea Knight
The Journal of Rheumatology September 2022, jrheum.220052; DOI: https://doi.org/10.3899/jrheum.220052
Alaina Davis
Sources of Support: The study was funded by a Childhood Arthritis and Rheumatology Research Alliance (CARRA) Large Grant Award (supported by the Arthritis Foundation and the Alpha Omicron Pi Foundation) and a CARRA Data Analysis Support Grant. Dr. Knight's work was also supported by the Rheumatology Research Foundation and National Institute of Arthritis and Musculoskeletal and Skin Diseases. A Davis, MD, MPH; Department of Pediatrics, Division of Pediatric Rheumatology, Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, USA; J Faerber, PhD; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; K Ardalan, MD, MS; Department of Pediatrics (Division of Pediatric Rheumatology), Duke University School of Medicine, Durham, NC, USA; Departments of Pediatrics and Medical Social Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; H Katcoff, MPH; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; M Klein-Gitelman, MD, MPH; Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; TB Rubinstein, MD; Department of Pediatrics, Division of Pediatric Rheumatology, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA; Z Cidav, PhD; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; DS Mandell, ScD; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; A Knight, MD, MSCE; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; PolicyLab, Children's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, CA. Conflict of interest: The listed authors have no conflicts of interest to report. Corresponding Author: Alaina Davis, 2141 Blakemore Avenue, Office 162, Nashville, TN 37232. E-mail: alaina.m.davis@vumc.org
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Jennifer Faerber
Sources of Support: The study was funded by a Childhood Arthritis and Rheumatology Research Alliance (CARRA) Large Grant Award (supported by the Arthritis Foundation and the Alpha Omicron Pi Foundation) and a CARRA Data Analysis Support Grant. Dr. Knight's work was also supported by the Rheumatology Research Foundation and National Institute of Arthritis and Musculoskeletal and Skin Diseases. A Davis, MD, MPH; Department of Pediatrics, Division of Pediatric Rheumatology, Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, USA; J Faerber, PhD; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; K Ardalan, MD, MS; Department of Pediatrics (Division of Pediatric Rheumatology), Duke University School of Medicine, Durham, NC, USA; Departments of Pediatrics and Medical Social Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; H Katcoff, MPH; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; M Klein-Gitelman, MD, MPH; Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; TB Rubinstein, MD; Department of Pediatrics, Division of Pediatric Rheumatology, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA; Z Cidav, PhD; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; DS Mandell, ScD; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; A Knight, MD, MSCE; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; PolicyLab, Children's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, CA. Conflict of interest: The listed authors have no conflicts of interest to report. Corresponding Author: Alaina Davis, 2141 Blakemore Avenue, Office 162, Nashville, TN 37232. E-mail: alaina.m.davis@vumc.org
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Kaveh Ardalan
Sources of Support: The study was funded by a Childhood Arthritis and Rheumatology Research Alliance (CARRA) Large Grant Award (supported by the Arthritis Foundation and the Alpha Omicron Pi Foundation) and a CARRA Data Analysis Support Grant. Dr. Knight's work was also supported by the Rheumatology Research Foundation and National Institute of Arthritis and Musculoskeletal and Skin Diseases. A Davis, MD, MPH; Department of Pediatrics, Division of Pediatric Rheumatology, Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, USA; J Faerber, PhD; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; K Ardalan, MD, MS; Department of Pediatrics (Division of Pediatric Rheumatology), Duke University School of Medicine, Durham, NC, USA; Departments of Pediatrics and Medical Social Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; H Katcoff, MPH; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; M Klein-Gitelman, MD, MPH; Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; TB Rubinstein, MD; Department of Pediatrics, Division of Pediatric Rheumatology, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA; Z Cidav, PhD; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; DS Mandell, ScD; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; A Knight, MD, MSCE; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; PolicyLab, Children's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, CA. Conflict of interest: The listed authors have no conflicts of interest to report. Corresponding Author: Alaina Davis, 2141 Blakemore Avenue, Office 162, Nashville, TN 37232. E-mail: alaina.m.davis@vumc.org
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Hannah Katcoff
Sources of Support: The study was funded by a Childhood Arthritis and Rheumatology Research Alliance (CARRA) Large Grant Award (supported by the Arthritis Foundation and the Alpha Omicron Pi Foundation) and a CARRA Data Analysis Support Grant. Dr. Knight's work was also supported by the Rheumatology Research Foundation and National Institute of Arthritis and Musculoskeletal and Skin Diseases. A Davis, MD, MPH; Department of Pediatrics, Division of Pediatric Rheumatology, Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, USA; J Faerber, PhD; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; K Ardalan, MD, MS; Department of Pediatrics (Division of Pediatric Rheumatology), Duke University School of Medicine, Durham, NC, USA; Departments of Pediatrics and Medical Social Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; H Katcoff, MPH; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; M Klein-Gitelman, MD, MPH; Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; TB Rubinstein, MD; Department of Pediatrics, Division of Pediatric Rheumatology, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA; Z Cidav, PhD; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; DS Mandell, ScD; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; A Knight, MD, MSCE; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; PolicyLab, Children's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, CA. Conflict of interest: The listed authors have no conflicts of interest to report. Corresponding Author: Alaina Davis, 2141 Blakemore Avenue, Office 162, Nashville, TN 37232. E-mail: alaina.m.davis@vumc.org
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Marisa Klein-Gitelman
Sources of Support: The study was funded by a Childhood Arthritis and Rheumatology Research Alliance (CARRA) Large Grant Award (supported by the Arthritis Foundation and the Alpha Omicron Pi Foundation) and a CARRA Data Analysis Support Grant. Dr. Knight's work was also supported by the Rheumatology Research Foundation and National Institute of Arthritis and Musculoskeletal and Skin Diseases. A Davis, MD, MPH; Department of Pediatrics, Division of Pediatric Rheumatology, Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, USA; J Faerber, PhD; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; K Ardalan, MD, MS; Department of Pediatrics (Division of Pediatric Rheumatology), Duke University School of Medicine, Durham, NC, USA; Departments of Pediatrics and Medical Social Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; H Katcoff, MPH; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; M Klein-Gitelman, MD, MPH; Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; TB Rubinstein, MD; Department of Pediatrics, Division of Pediatric Rheumatology, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA; Z Cidav, PhD; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; DS Mandell, ScD; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; A Knight, MD, MSCE; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; PolicyLab, Children's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, CA. Conflict of interest: The listed authors have no conflicts of interest to report. Corresponding Author: Alaina Davis, 2141 Blakemore Avenue, Office 162, Nashville, TN 37232. E-mail: alaina.m.davis@vumc.org
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Tamar B. Rubinstein
Sources of Support: The study was funded by a Childhood Arthritis and Rheumatology Research Alliance (CARRA) Large Grant Award (supported by the Arthritis Foundation and the Alpha Omicron Pi Foundation) and a CARRA Data Analysis Support Grant. Dr. Knight's work was also supported by the Rheumatology Research Foundation and National Institute of Arthritis and Musculoskeletal and Skin Diseases. A Davis, MD, MPH; Department of Pediatrics, Division of Pediatric Rheumatology, Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, USA; J Faerber, PhD; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; K Ardalan, MD, MS; Department of Pediatrics (Division of Pediatric Rheumatology), Duke University School of Medicine, Durham, NC, USA; Departments of Pediatrics and Medical Social Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; H Katcoff, MPH; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; M Klein-Gitelman, MD, MPH; Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; TB Rubinstein, MD; Department of Pediatrics, Division of Pediatric Rheumatology, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA; Z Cidav, PhD; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; DS Mandell, ScD; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; A Knight, MD, MSCE; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; PolicyLab, Children's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, CA. Conflict of interest: The listed authors have no conflicts of interest to report. Corresponding Author: Alaina Davis, 2141 Blakemore Avenue, Office 162, Nashville, TN 37232. E-mail: alaina.m.davis@vumc.org
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Zuleyha Cidav
Sources of Support: The study was funded by a Childhood Arthritis and Rheumatology Research Alliance (CARRA) Large Grant Award (supported by the Arthritis Foundation and the Alpha Omicron Pi Foundation) and a CARRA Data Analysis Support Grant. Dr. Knight's work was also supported by the Rheumatology Research Foundation and National Institute of Arthritis and Musculoskeletal and Skin Diseases. A Davis, MD, MPH; Department of Pediatrics, Division of Pediatric Rheumatology, Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, USA; J Faerber, PhD; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; K Ardalan, MD, MS; Department of Pediatrics (Division of Pediatric Rheumatology), Duke University School of Medicine, Durham, NC, USA; Departments of Pediatrics and Medical Social Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; H Katcoff, MPH; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; M Klein-Gitelman, MD, MPH; Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; TB Rubinstein, MD; Department of Pediatrics, Division of Pediatric Rheumatology, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA; Z Cidav, PhD; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; DS Mandell, ScD; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; A Knight, MD, MSCE; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; PolicyLab, Children's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, CA. Conflict of interest: The listed authors have no conflicts of interest to report. Corresponding Author: Alaina Davis, 2141 Blakemore Avenue, Office 162, Nashville, TN 37232. E-mail: alaina.m.davis@vumc.org
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David S. Mandell
Sources of Support: The study was funded by a Childhood Arthritis and Rheumatology Research Alliance (CARRA) Large Grant Award (supported by the Arthritis Foundation and the Alpha Omicron Pi Foundation) and a CARRA Data Analysis Support Grant. Dr. Knight's work was also supported by the Rheumatology Research Foundation and National Institute of Arthritis and Musculoskeletal and Skin Diseases. A Davis, MD, MPH; Department of Pediatrics, Division of Pediatric Rheumatology, Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, USA; J Faerber, PhD; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; K Ardalan, MD, MS; Department of Pediatrics (Division of Pediatric Rheumatology), Duke University School of Medicine, Durham, NC, USA; Departments of Pediatrics and Medical Social Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; H Katcoff, MPH; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; M Klein-Gitelman, MD, MPH; Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; TB Rubinstein, MD; Department of Pediatrics, Division of Pediatric Rheumatology, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA; Z Cidav, PhD; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; DS Mandell, ScD; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; A Knight, MD, MSCE; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; PolicyLab, Children's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, CA. Conflict of interest: The listed authors have no conflicts of interest to report. Corresponding Author: Alaina Davis, 2141 Blakemore Avenue, Office 162, Nashville, TN 37232. E-mail: alaina.m.davis@vumc.org
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Andrea Knight
Sources of Support: The study was funded by a Childhood Arthritis and Rheumatology Research Alliance (CARRA) Large Grant Award (supported by the Arthritis Foundation and the Alpha Omicron Pi Foundation) and a CARRA Data Analysis Support Grant. Dr. Knight's work was also supported by the Rheumatology Research Foundation and National Institute of Arthritis and Musculoskeletal and Skin Diseases. A Davis, MD, MPH; Department of Pediatrics, Division of Pediatric Rheumatology, Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, USA; J Faerber, PhD; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; K Ardalan, MD, MS; Department of Pediatrics (Division of Pediatric Rheumatology), Duke University School of Medicine, Durham, NC, USA; Departments of Pediatrics and Medical Social Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; H Katcoff, MPH; Data Science and Biostatistics Unit, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; M Klein-Gitelman, MD, MPH; Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; TB Rubinstein, MD; Department of Pediatrics, Division of Pediatric Rheumatology, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA; Z Cidav, PhD; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; DS Mandell, ScD; Center for Mental Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; A Knight, MD, MSCE; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; PolicyLab, Children's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, CA. Conflict of interest: The listed authors have no conflicts of interest to report. Corresponding Author: Alaina Davis, 2141 Blakemore Avenue, Office 162, Nashville, TN 37232. E-mail: alaina.m.davis@vumc.org
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Accepted manuscript
The Impact of Psychiatric Comorbidity on Health Care Utilization for Youth with Newly Diagnosed Systemic Lupus Erythematosus
Alaina Davis, Jennifer Faerber, Kaveh Ardalan, Hannah Katcoff, Marisa Klein-Gitelman, Tamar B. Rubinstein, Zuleyha Cidav, David S. Mandell, Andrea Knight
The Journal of Rheumatology Sep 2022, jrheum.220052; DOI: 10.3899/jrheum.220052

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Accepted manuscript
The Impact of Psychiatric Comorbidity on Health Care Utilization for Youth with Newly Diagnosed Systemic Lupus Erythematosus
Alaina Davis, Jennifer Faerber, Kaveh Ardalan, Hannah Katcoff, Marisa Klein-Gitelman, Tamar B. Rubinstein, Zuleyha Cidav, David S. Mandell, Andrea Knight
The Journal of Rheumatology Sep 2022, jrheum.220052; DOI: 10.3899/jrheum.220052
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